When providing teaching to the guardian of a child who has leukemia about methods to prevent complications, which of the following statements by the guardian indicates an understanding of the teaching, as assessed by a home health nurse?
"I'm sure my child will feel better now that he can ride his bicycle."
"I will make sure my child gets a measles, mumps, and rubella vaccine this week."
"I should take my child's rectal temperature daily."
"I should inspect my child's mouth for sores."
The Correct Answer is D
Children with leukemia are at risk for developing oral mucositis, which is inflammation and ulceration of the oral mucosa due to the destruction of rapidly dividing cells by chemotherapy. Inspecting the child's mouth for sores and providing appropriate mouth care is essential to prevent infection and to maintain hydration and nutrition. Riding a bicycle is not recommended for a child with leukemia because of the risk of falls and injuries, and the measles, mumps, and rubella vaccine is contraindicated for children with leukemia who are receiving chemotherapy. Measuring the temperature orally or axillary is a safe and accurate method for monitoring the child's temperature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B, "Gonorrhea." Gonorrhea is a reportable infectious condition that must be reported to the Centers for Disease Control and Prevention (CDC). While genital herpes simplex virus, bacterial vaginosis, and human papillomavirus are also sexually transmitted infections, they are not reportable to the CDC. It is important to report cases of gonorrhea to the CDC for surveillance and control purposes.
Correct Answer is C
Explanation
The correct answer is choice C, "Describe the place where you are currently living." When discussing discharge plans with a client, the first step is to assess the client's living situation to ensure that they will be able to safely manage their health condition at home. In this case, the client requires a special bed at home due to their pressure injury. By asking the client to describe their living situation, the case manager can determine if the client's home is suitable for their needs or if they require additional assistance or resources. Once the client's living situation has been assessed, the case manager can then discuss options for obtaining necessary supplies and provide education on how to manage the pressure injury.
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